insurance precert problem for dilon

coopfesta

Veteran Member

Joined : Sep 2003

Posts : 1373

Posted 10/27/2006 2:12 PM (GMT 0)

Well, here we go. I was waiting for the shoe to drop with my insurance company. I was very happy with the unfettered access to medical scans and care I've had under GHI-HMO, but now I can't get precertified for the Dillon Scan. I called and they said it was only for something like an endocrine carcinoma or a neurosomething. I said it was a breast cancer diagnosis. I have to have my doc call and appeal. Now, which doc is the question: my primary who didn't request it or the breast surgeon, who's not my primary, who did request it. It's $500 and I'm going to have it either way, but sure would be nice if they paid for it, ya know?

codie

New Member

Joined : Oct 2006

Posts : 3

Posted 11/1/2006 3:56 AM (GMT 0)

YOU NEED TO HAVE YOUR BREAST CANCER SURGEON REQUEST IT SO THAT INSURANCE WILL PAY ....CODIE

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